2007, 03-14 Permit App 07000875 Residence, Plumb, MechSpokane
_Valley'
Community Development
Permit Center D) ('
11707 E Sprague Ave; Suite 1 6
Spokane Valley, W_A 99206
(509)688-0036 FAX4509)688-00
www. sp okanevallev. o'rg
19)
Residential Construction
Permit Application
SITE ADDRESS
2300 1 ,
ASSESSORS PARCEL NO: 460 f 053 2-
EHE
PERMIT NUMBER:
PERMIT FEE:
New Construction
Addition/Remodel Deck
Other:
LEGAL DESCRIPTION:
Building Owner:
Name:
D p(_(,...6.,„....5
1 4c1q'P
1
Address:
-3-05 e_p 1
(1_)_ 3 1 cit. E_
City:
, '^ GGk.-✓V1cACJ�ce)-5 State: A 1i Zip: G70 a";
Phone:
_91_0 6 l— 0 7cd 5-Fax:
Contact Person
Name: a{i e I `� L l2
Phone: _ "/ 7 Q 3
Describe the scope of work in detail:
Sl
❑ Accessory Bldg
Contractor:
Name: 6 L
Q--toss--..--.--"
Address: cg z; cl
Se_ f
City: 45)3 64c. t,„cS
/tate: zip
Cty Z,-
Phone: s % a -7 g 5
Fax:
Contractor Lic No:
Exp D te:
City Business Lic. No: co /
`) -� S' 23 0 r
Cost of Project: $ 70
0072
**************The following MUST be complete: (write N/A if not applicable)**********************
HEIGHT TO PEAK:
2'
DIMENSIONS:
3 .L 32
# OF STORIES:_
2
TOTAL HABITABLE SPACE:
i Y0
MAIN FLOOR TO SQ.
FTG: L/c1 j�
2Nu FLOOR SQ. FTG:
60
UNFIN BASEMENT SQ. FTG:
N /
IMPERVIOUS SURFACE
AREA:
FINISHED BASEMEN
SQ. FTG: �"f
GARAGS . FTG:
/
DECK/COV_ P TI Q. FTG:
c
30% SLOPES ON .�.,_
PROPERTY: ilw'�NO
# OF BEDROOM
CONSTRUCTION PE:
Li OD
HEAT SOURCE
(Cc-Tt r 4--( 6'`��
SEWER R SEPTIC?
e-«.c
The permitee verifies, acknowledges and agrees by their signature that: 1) If this permit is for construction of or on a dwelling, the
dwelling is/will be served by potable water. 2) Ownership of this City of Spokane Valley Permit inure to the property owner. 3) The
signatory is the property owner or has permission to represent the property owner in this transaction. 4) All construction is to be done
in full compliance with the City of Spokane Valley Development Code. Referenced codes are available for review at the City of
Spokane Valley Permit Center. 5) This City of Spokane Valley Permit is not a permit or approval for any violation of federal, state or
local laws, codes or ordinances. 6) Plans or additional information may be required to be submitted, and subsequently approved before
this application can be proces ed.
Signature
..51.13\7
Method of Payment:
❑ Cash )(Check
Bankcard #:
Authorized Signature:
REVISED 8/25/2005
Date
❑ Mastercard ❑ VISA
Expires: VIN#:
3 -( LI- 0 7
Spokane
. Valleyx
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
Community Development
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
E Commercial Residential
SITE ADDRESS:
a31 G _ r3L
Building Owner
��
Name:
�[(°
--r4. i4' r+' / 4 ef_K
�r
/
Phone: Z 9 it_/ I0 3 Fax:
Address:
A �'
i 3 Gpv JL, cepf.1
City: &�/!-5 11.�L1 f State: (o/ /-
Zip: eJ ,2 L 7
Contractor
Name:
/!
/J`� 5.6 it Pa 44-- t
Phone: �� QA� Fax:
Address:
7l !4 l d9 cef 14
City: f.pf,3 et,./ul 0. Statit�1
Zil:j2ij 7
License No:
/
I4LX r'� 66 2 >
1/
City Business Lic: 6o/ J! . % CP /
Contact
6
el/7 Zr
Name:
0°� -1 (.1 Gj 7s) "3
Phone: 29', rJ JQ J.
DESCRIPTION OF WORK
# OF UNITS
COST
= TOTAL AMOUNT
1
2
FUEL BURNING APPLIANCE
FUEL BURNING APPLIANCE
Equal to or less than 100,000
More than 100.000
$12.00
$15.00
3
4
15
6
7
UNLISTED APPLIANCE (Additional Fee)
UNLISTED APPLIANCE (Additional Fee)
USED APPLIANCE (WSEC min. AFUE rating)
USED APPLIANCE (WSEC min. AFUE rating)
BOILER/REFRIGERATION
Equal to or less than 400,000
More than 400,000
Equal to or less than 400,000
More than 400.000
1 - 100M BTU
$50.00
$100.00
$50.00
$100.00
$12.00
8
BOILER/REFRIGERATION
101 - 500M BTU
$20.00
9
BOILER/REFRIGERATION
501 - 1,000M BTU
$25.00
10
BOILER/REFRIGERATION
1,001- 1,750M BTU
$35.00
11
BOILER/REFRIGERATION
More than 1.750M BTU
$60.00
12
GAS LOG, GAS INSERT, GAS FIREPLACE
$10.00
/0
13
14
15
RANGE
DRYER
FUEL BURNING WATER HEATER
2
2
$10.00
$10.00
$10.00
Zu
Za
IQ
16
MISC. FUEL BURNING APPLIANCE
$10.00
17
18
GAS PIPING (each outlet)
DUCT SYSTEMS
2
$1.00
$10.00
2 M(
19
VENTILATING FANS
$10.00
/L)
20
21
22
AIR HANDLER (DOES NOT include ducting)
AIR HANDLER (DOES NOT include ducting)
EVAPORATIVE COOLERS
Equal to or less than 10,000 CFM
Greater than 10.000 CFM
$12.00
$15.00
$10.00
23
24
25
TYPE IHOOD
TYPE II HOOD
HEAT PUMP/AIR CONDITIONER
0-3 TON
4z
$50.00
$10.00
$12.00
20
26
AIR CONDITIONER
3-15 TON
$20.00
27
AIR CONDITIONER
15-30 TON
$25.00
28
AIR CONDITIONER
30-50 TON
$35.00
29
AIR CONDITIONER
More than 50 TON
$60.00
30
LPG STORAGE TANK
$10.00
31
WOOD OR PELLET STOVE/INSERT
$10.00
32
WOOD STOVE - FREE STANDING
$25.00
33
REPAIR & ADDITIONS
$15.00
34
VENTILATION SYSTEMS
$12.00
35
VENTILATION MECHANICAL EXHAUST
$12.00
36
INCINERATOR - RESIDENCE
$19.00
37
INCINERATOR - COMMERCIAL
$22.00
METHOD OF PAYMENT:
❑CASH r\1 CHECK ❑ VISA ❑ MC
CARD #:
AUTHORIZED SIGNATURE:
\,(
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
Spo"kankane�
��Valley°
Community Development
Plumbing Permit Application
SITE ADDRESS:
Permit Center
11707 E Sprague Ave, Suite 106
Spokane Valley, WA 99206
(509)688-0036 FAX: (509)688-0037
www.spokanevallev.org
PERMIT NUMBER:
PERMIT FEE:
❑ Commercial Residential
Witte/
Building Owner
/�,2Name:
r1V��kilre��Phone:
f Pi
29t' — % !U/ Fax:GAddress:
,3 fern♦)- 5 6 G%
City: �C/7 ofc/l cad/State: ([L /a
Zip
�d Z7
Contractor l
i
Name: (Z,6 �C
iA- -C-
Phone: �j 6 6'7 % `D Fax:
Address:
Z- 41-)
�
�v 5l- f
l L-
City: ..( 7 , O'Cle Mate: � _
Zip:
? 7
y
License No: 4 1` C.
(
®� by
City Business Lic: 6.j / / Z!/o /
Contact -
Name: l f j61ti v('
_
Phone: 1 7 Iv 3
DESCRIPTION OF WORK
1
2
TOILETS
URINALS
WATER CLOSET, BIDETS
# OF UNITS
COST
TOTAL AMOUNT
Z
$6.00
$6.00
_ /
3
TUBS
2
$6.00
= /Z-
4
5
6
SHOWERS PER TRAP
SINKS
DISHWASHER
7
8
CLOTHES WASHER
GARBAGE DISPOSAL
BATH. STALL, ON -SITE BUILT
LAVS/BASINS, BAR, FLOOR, KITCHEN,
LAUNDRY, UTILITY, JANITOR, PHOTO,
X-RAY, FOOD, PREP/CULINARY MEAT
7_
z
$6.00
$6.00
$6.00
= /Z
Zy
= jZ
2
$6.00
$6.00
/Z
9
WATER SOFTENER
$6.00
6
10
11
12
ELECTRIC HOT WATER TANK
FLOOR DRAINS
ROOF DRAINS/OVERFLOW DRAINS
NOTE: IF GAS, SEE MECHANICAL
$6.00
AREA, CASE, COIL, TRENCH,
CONDENSATE
Z
$6.00
$6.00
13
FOUNTAINS, DRINKING
$6.00
14
WATER PIPING/DRAIN-IN WASTE,
VENT, PLUMBING, REVERSAL
NSTALLATION, ALTERATION, REPAIR,
REVERSALS
$6.00
15
16
17
18
19
20
SEWAGE EJECTOR
WATER USING DEVICE
CROSS CONNECTION DEVICE
INTERCEPTORS
MEDICAL GAS (per outlet)
MISCELLANEOUS PLUMBING FIXTURE
GRINDER. SUMP PUMP
ICE AN/OR COFFEE MAKER, HOSE BIB,
STEAMER
PROOFER, CARBONATOR, SWAMP
COOLER
VACUUM BREAKER, CHECK VALVE,
AND R.P.B.P.D. FOR: VATS, TANKS,
BOILERS
GREASE TRAP, SAND TRAP,
CHEMICAL HOLDING TANK
56.00
$6.00
$6.00
NITROUS, OXYGEN
$6.00
$6.00
21
PRIVATE SEWAGE DISPOSAUSYS
$20.00
22
INDUSTRIAL WASTE INTERCEPTOR
$15.00
METHOD OF YMENT:
❑CASH ' CHECK ❑ VISA ❑ MC
Card#
AUTHORIZED SIGNATURE:
REVISED 8/26/05
EXPIRES:
VIN:
SUBTOTAL
PROCESSING FEE
$35.00
TOTAL PERMIT FEE DUE:
coo.
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i A.JV ...Op JGG4GaU
ova b54UU1/
WINV .KritKtVALLtY
p.2
NAGE B2
ireperly O
I, �J �/�`Q;.-c- >`7mGie.(/ pinnogmna` bfy& t& ov,cr 6f pppar�4�
dew by um prate bats(%) Ysdgs ; os� - ost je f-OS 1 by
givepanzattutts w./ - yet YAt tteme) mD
submit anApplloe.lostor e3c."7 fie.., ;As.
WATS C/X4 WASFUNGTON ) ss .
OoL1N2Y r 'OlifANE )
z,_ tJ \ V70 tpreinimmo.s ,u
COM
PE$AL.TY EER3i3RY, T$ATIAMTB$ caul= my R73 or s.ceA1
CEla
AND ALL OFMa Ars??Y5 TICITEMILLY AHD TO THE
.sue • 3 0?- C z, ^cf.�c� s 6\v c .
Ms NA: $`iLi— 276? Dina 3 !S/67
Apicormsolumareuran
Project Number: 07000875 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Project Information:
Permit Use: SFR W/ATT GAR
Setbacks: Front 15 Left: 38 Right: 20 Rear: 20
Site Information:
Plat Key:
Date: 3/21/2007 Page 1 of 3
Contact: BLACKHAWK CORPORATION
Address: 23900 E JOSEPH
C - S - Z: OTIS ORCHARDS, WA 99027
Phone: (509) 226-2186
Group Name:
Project Name:
Name: Range
District: Nort
Parcel Number: 45094.0532 Block:
SiteAddress: 2316 N WILBUR ST
Location:: CSV
Lot:
Owner: Name: HOWELL, BRYAN T & MIZU A
Address: 2312 N WILBUR RD
SPOKANE VALLEY, WA 99206
Zoning: UR-22 Urban Residential-22
Water District: Hold: ❑
Area: 7,913 Sq Ft Width: 0 Depth: 0 Right Of Way (ft): 0
Nbr of Bldgs: 0 Nbr of Dwellings: 0
Review Information:
Review
Building Plan Review
Driveway/Approach
Released By:
Released By:
Landuse/Zoning/HE Conditions
Sewer Review
Released By:
Permits: - - -
Operator: JD Printed By: JD Print Date: 3/21/2007
Project Number: 07000875 Inv: 1
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Building Permit
Date: 3/21/2007 Page 2 of 3
Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP
Address: 23900 E JOSEPH Phone: (509) 226-2186
OTIS ORCHARDS, WA 99027
This Application: Total Project:
Description Grp Type Notes Sq Ft Valuation Sq Ft Valuation
1&2 FAMILY R-3 VB 448 $40,929.28 448 $40,929.28
2ND FLOOR R-3 VB 960 $71,692.80 960 $71,692.80
DECK OPEN R-3 VB 64 $960.00 64 $960.00
GARAGE U-1 VB 311 $5,909.00 311 $5,909.00
Item Description
RESIDENTIAL PERMIT FEE
WSBC SURCHARGE
SF PLNS RVW < 7999 SQ FT
Totals: 1,783 $119,491.08 1,783 $119,491.08
Units Unit Desc Fee Amount
1 SELECT $1,105.75
1 SELECT $4.50
1 SELECT $442.30
Permit Total Fees:
Mechanical Permit
$1,552.55
Contractor: BLACKHAWK CORP Firm: BLACKHAWK CORP
Address: 23900 E JOSEPH Phone: (509) 226-2186
OTIS ORCHARDS, WA 99027
Item Description
GAS WATER HEATER
GAS PIPING
VENTILATING FANS
CLOTHES DRYER
RANGE
GAS LOG OR GAS INSERT
HOOD -TYPE II
Units Unit Desc
1 NUMBER OF
2 # OF UNITS
4 NUMBER OF
2 NUMBER OF
2 NUMBER OF
1 NUMBER OF
2 NUMBER OF
Permit Total Fees:
Plumbing Permit
Fee Amount
$10.00
$2.00
$40.00
$20.00
$20.00
$10.00
$20.00
$122.00
Contractor: BLACKHAWK CORP Finn: BLACKHAWK CORP
Address: 23900 E JOSEPH Phone: (509) 226-2186
OTIS ORCHARDS, WA 99027
Operator: JD Printed By: JD Print Date: 3/21/2007
Project Number: 07000875 Inv: I
Notes -
Application
THIS IS NOT A PERMIT
Penalties will be assessed for commencing work without a permit
Payment Summary:
Permit Type
Building Permit
Mechanical Permit
Fee Amount Invoice Amount
$1,552.55 $1,552.55
$122.00 $122.00
Amount Paid
$0.00
$0.00
Date: 3/21/2007 Page 3 of 3
Amount Owing
$1,552.55
$122.00
$1,674.55 $1,674.55
$0.00 $1,674.55
Disclaimer:
Submittal of this application certifies the owner (or person(s) authorized by the owner) has both examined and finds the information
contained within to be true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be
complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of
the provisions of the code or of any other state or local laws or ordinances.
Signature:
Operator: JD Printed By: JD Print Date: 3/21/2007
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